Embolization by superselective arteriography from the femoral route in neuroradiology review of 60 cases

Djindjian, R; Cophignon, J; Théron, J; Merland, J. J.; Houdart, R

doi:10.1007/bf00338854

Cited by 162 publications

(36 citation statements)

References 14 publications

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“…The evolution of our understanding of the natural history and endovascular treatment armamentarium for cranial dAVFs has evolved considerably since the earliest classification scheme and the early endovascular work of Djindjian et al 11,12 Beyond drainage into leptomeningeal veins, initially identified by Houser et al 15 as a risk factor for an aggressive course, symptomatic presentation and venous ectasia are both recognized as independent risk factors for a more aggressive clinical course.…”

Section: Discussionmentioning

confidence: 99%

“…11 Kendall and Logue's 19 elegant depiction of venous hypertension and the mere need to "disconnect" the fistula in cases of spinal dAVFs helped revolutionize our understanding of this lesion class and is the mainstay of treatment approaches today. Endovascular approaches thus needed to present a way to permanently occlude the fistula Glue embolization, in combination with transvenous approaches for coil occlusion of fistulas, served as the mainstay of treatment approaches during the first half of our evaluated period in this study.…”

Section: Evolution Of Treatmentmentioning

confidence: 99%

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Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas

Gross¹,

Albuquerque²,

Moon³

et al. 2016

JNS

110

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OBJECTIVEMany small series and technical reports chronicle the evolution of endovascular techniques for cranial dural arteriovenous fistulas (dAVFs) over the past 3 decades, but reports of large patient series are lacking. The authors provide a thorough analysis of clinical and angiographic outcomes across a large patient cohort.METHODSThe authors reviewed their endovascular database from January 1996 to September 2015 to identify patients harboring cranial dAVFs who were treated initially with endovascular approaches. They extracted demographic, presentation, angiographic, detailed treatment, and long-term follow-up data, and they evaluated natural history, initial angiographic occlusion, complications, recurrence, and symptomatic resolution rates.RESULTSAcross a cohort of 251 patients with 260 distinct dAVFs, the overall initial angiographic occlusion rate was 70%; recurrence or occult residual lesions were seen on subsequent angiography in 3% of cases. The overall complication rate was 8%, with permanent neurological complications occurring in 3% of cases. Among 102 patients with dAVFs without cortical venous reflux, rates of resolution/improvement of pulsatile tinnitus and ocular symptoms were 79% and 78%, respectively. Following the introduction of Onyx during the latter half of the study period, the number of treated dAVFs doubled; the initial angiographic occlusion rate increased significantly from 60% before the use of Onyx to 76% after (p = 0.01). In addition, during the latter period compared with the pre-Onyx period, the rate of dAVFs obliterated via a transarterial-only approach was significantly greater (43% vs 23%, p = 0.002), as was the number of dAVFs obliterated via a single arterial pedicle (29% vs 11%, p = 0.002).CONCLUSIONSOverall, in the Onyx era, the rate of initial angiographic occlusion was approximately 80%, as was the rate of meaningful clinical improvement in tinnitus and/or ocular symptoms after initial endovascular treatment of cranial dAVFs.

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Section: Discussionmentioning

confidence: 99%

Section: Evolution Of Treatmentmentioning

confidence: 99%

Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas

Gross¹,

Albuquerque²,

Moon³

et al. 2016

JNS

110

View full text Add to dashboard Cite

show abstract

“…6 However, endovascular management of these and other dural arteriovenous fistulas (DAVFs) is both curative and safe. 3,[17][18][19][20][21][22][23][24][25] In the present series, the diagnosis of MSF was complicated by a clinical presentation similar to that of a CCF. Misdiagno-sis on the basis of clinical presentation and/or noninvasive imaging may lead to the inappropriate dismissal of an MSF as a benign indirect CCF.…”

Section: Discussion/resultsmentioning

confidence: 99%

Marginal Sinus Arteriovenous Fistulas Mimicking Carotid Cavernous Fistulas: Diagnostic and Therapeutic Considerations

Turner¹,

Gonugunta²,

Kelly³

et al. 2007

American Journal of Neuroradiology

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SUMMARY:Marginal sinus fistulas (MSFs) are uncommon vascular anomalies. Occasionally, the dominant venous drainage is forced retrograde up the inferior petrosal sinus and into the cavernous sinus, causing chemosis, proptosis, and ocular hypertension, mimicking a carotid cavernous fistula. This atypical clinical presentation may lead to misdiagnosis and inappropriate hazardous treatment of an MSF. Identifying the site of the fistula and understanding the anatomy of the venous drainage are critical in providing appropriate, safe, and efficacious endovascular treatment.

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“…Quando ausente, a artéria meningea média assume grande parte do seu território vascular, principalmente o do trigêmeo (PARKINSON, 1964;DJINDJIAN et al, 1973;RHOTON et al, 1979;BERENSTEIN, 1987b;KRISHT, 1994;YASUDA et al, 2005).…”

Section: Artéria Inferior Do Sc Ou Tronco íNfero-lateralunclassified

“…• através dos ramos hipofisários inferiores dos troncos meningohipofisários, com os ramos correspondentes contralaterais na face posterior da sela turca (DJINDJIAN et al, 1973;DJINDJIAN, 1987b);…”

Section: Anastomoses Vasculares Arteriais Na Região Do Scunclassified

Tratamento endovascular das fístulas carotidocavenosas indiretas

Silva¹

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nada disto poderia ter sido realizado.Ao meu eterno "chefe" e admirável orientador Prof. Dr. José Guilherme Mendes Pereira Caldas, o qual me ensinou os segredos e a prática da neurorradiologia intervencionista, assim como me incentivou e contribuiu de forma significativa na realização deste projeto. Exemplo de competência, entusiásmo, integridade e altruísmo, é além de tudo um grande amigo.Ao Dr. Paulo Puglia, que durante o meu estágio no Hospital das Clínicas colaborou com a minha formação e a quem tenho muita admiração. Ao Dr. Francisco Ramos Júnior, pela sua simplicidade, amizade, suporte e orientação na realização deste trabalho.Ao Dr. Michel Eli Frudit, um exemplo a ser seguido, pela sua integridade, competência e objetividade nas ações. Contribuiu também de forma imensurável na minha formação e na conclusão deste projeto.Às secretárias do INRAD, Sandra de Barros e Elisângela Dias, pela grande ajuda.

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Embolization by superselective arteriography from the femoral route in neuroradiology review of 60 cases

Cited by 162 publications

References 14 publications

Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas

Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas

Marginal Sinus Arteriovenous Fistulas Mimicking Carotid Cavernous Fistulas: Diagnostic and Therapeutic Considerations

Tratamento endovascular das fístulas carotidocavenosas indiretas

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